Individual provider Active NPI

Sara Witzler, MA, LPCC

  • Mental Health Counselor
  • Perrysburg, OH
National Provider Identifier
1871033357
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1901321 Issued in OH
Practice address
1070 Commerce Dr
Perrysburg, OH 43551-5236
Phone
(419) 482-8382
NPI assigned
Mar 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1500349 OH
Mental Health Counselor 101YM0800X E.1901321 OH Primary

Addresses

Primary practice location

1070 Commerce Dr
Perrysburg, OH 43551-5236

Mailing address

8084 Co Rd C
Delta, OH 43515
Phone (419) 466-3428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240314000725 OH Practitioner - Mental Health Counselor 7012353915 Practice locations: Waterville, OH

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

218 Mechanic St
Suite a
Waterville, OH 43566-1438
Phone (419) 466-3428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C.1500349OHMDMental Health Counselor
E.1901321OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Premiere Counseling Services, LLC PastSince Oct 13, 2024 Accepting new patients
Hope Institute of America Mental Health PastSince Feb 18, 2024 Accepting new patients
Firefly Therapy LLC PastSince Jul 31, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1871033357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8084 CO RD C",
            "city": "DELTA",
            "state": "OH",
            "postal_code": "43515",
            "telephone_number": "419-466-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 COMMERCE DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515236",
            "telephone_number": "419-482-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITZLER",
        "first_name": "SARA",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1500349",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1901321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.